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Indian Journal of Anesthesia and Analgesia

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A Study on Combined Spinal Epidural Labour Analgesia a Comparison between 0.125% Bupivacaine with Fentanyl Versus 0.1% Ropivacaine with Fentanyl

Priya Ramalingam , Senthilkumar Krishnan1 , Priya Ramalingam2

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Indian Journal of Anesthesia and Analgesia 6(1):p 110-116, Jan-Feb 2019. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.6119.16

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Senthilkumar Krishnan, Priya Ramalingam. A Study on Combined Spinal Epidural Labour Analgesia a Comparison between 0.125% Bupivacaine with Fentanyl Versus 0.1% Ropivacaine with Fentanyl. Indian J Anesth Analg. 2019;6(1):110-116.

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Received : N/A         Accepted : N/A          Published : N/A

Abstract

Introduction: The responsibility of the Anaesthesiologist in obstetrics is arguably greater than in any other fields of anaesthesia. Aim: To compare the quality of epidural analgesia of 0.125% bupivacaine with 0.1% ropivacaine after intrathecal administration of fentanyl 25 μg in combined spinal epidural labour analgesia. Methodology: After obtaining ethical committee approval and written consent 60 term healthy primi gravida with cephalic singleton pregnancy were selected. Intrathecal fentanyl 25 μg initiated in all parturients. Group B receives epidural 0.125% bupivacaine 10 ml with 2 μg of fentanyl/mL agroup R receives epidural 0.1% ropivacaine 10 ml with 2 μg of fentanyl/mL two groups were compared in terms of quality of analgesia, vitals & fetal outcome. Results: Quality of analgesia was excellent in both the groups. Maximum motor blockade (grade 1 Bromage) has occurred during the first stage of labour and doesn’t affect the progression of labour or fetal outcome. Conclusion: We had concluded that both epidural bupivacaine 0.125% and ropivacaine 0.1% provides equal. 

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Senthilkumar Krishnan, Priya Ramalingam. A Study on Combined Spinal Epidural Labour Analgesia a Comparison between 0.125% Bupivacaine with Fentanyl Versus 0.1% Ropivacaine with Fentanyl. Indian J Anesth Analg. 2019;6(1):110-116.

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.6119.16

Keywords

Combined spinal epidural labour analgesia; Intrathecal fentanyl; Bupivacaine; Ropivacaine.

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